Four design principles guided landscape architect Frederick Law Olmstead’s original master plan for Stanford University: connectivity, balance, order, and growth.  The University is created on a structured grid of quads and predictable pedestrian pathways.  A major design goal of the Connective Elements project is to strengthen the north south connections between the hospital and the University and the east west connections through the Clark Center and along path of research buildings in the School of Medicine.  The concept of “front door” composed of a significant signature building as the anchor and a landscaped plaza and front lawn is central to restoring balance and order to the campus.  Further the team decided that order should be reinforced through the integration of a consistent set of aesthetic elements.   Growth was carefully considered with the creation of the west campus plan and the integration of the new Stanford Institute of Medicine sites into the overall campus framework.

The new master site plan for the School of Medicine includes a comprehensive survey of the school’s logistical needs and capabilities. Representatives from a wide range of departments and groups were consulted; from this process emerged a master materials handling plan that positions the School's central loading dock below grade just south of PSRL and east of Governor's Lane and includes a new tunnel South of CCSR to connect to the existing tunnel system.

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